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How many of you carry Kcentra? What about feiba? Or any of the 3 factor PCCs? I am curious to see if anyone uses the 3 factor PCC + ffp instead of kcentra. For those hospitals who don't carry any 4 factor PCCs what do you use?
 

VCU07

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How many of you carry Kcentra? What about feiba? Or any of the 3 factor PCCs? I am curious to see if anyone uses the 3 factor PCC + ffp instead of kcentra. For those hospitals who don't carry any 4 factor PCCs what do you use?
We recently added kcentra to formulary. Have not had to use it thankfully, but it's an option for bleeds secondary to Coumadin and possibly xarelto.
 

OmiPharmD

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Feiba - yes. Kcentra - denied formulary addition.

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We just recently started carrying Kcentra and have already been using in combination w/ vitK for hemorrhagic stroke.
 

DrWrong

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How many of you carry Kcentra? What about feiba? Or any of the 3 factor PCCs? I am curious to see if anyone uses the 3 factor PCC + ffp instead of kcentra. For those hospitals who don't carry any 4 factor PCCs what do you use?
We recently added KCentra to the formulary and phased out the Profilnine. Profilnine was essentially removed from the formulary once we ran out of stock. Until KCentra came on the market, we were using Profilnine + FFP, although we also have Feiba on formulary.

Interestingly enough, it seems to have been overlooked that Kcentra contains heparin, which could pose a problem for any patients with a warfarin associated life threatening bleed and a history of HIT. Still waiting for this to be discussed at the P&T committee meeting.